Social Media Training Application Application Date: Business Name: Contact Name:______________________ Address: _________________________________________ City: State: Email: Office Phone #: Business License # 1. 2. Zip: Cell Phone#: FED ID: What is the current status of your business? Start-up in progress Involved in family business Operating an existing business Planning to expand an existing business Purchasing or taking over a business N/A How long have you been operating your own business? Less than 1 year 1-2 years 3-5 years 8-10 years Over 15 years N/A 3. Industry Type: Describe your business. For example, what type of business is it (service, manufacturing, retail, high-technology or not-for-profit). 4. Describe the nature and the range of the products and/or services you offer. 5. a. How many full-time employees do you have, including yourself? b. How many part-time employees do you have, including yourself? 6. Do you work full-time in your business? 7. a. b. Yes No What is the primary location of your own business? Your home Partner's home Rented space (not home) Owned space (not home) Incubator space Other If other, explain... Revised 1/25/203 Page 1 of 2 (For questions 8-11) What is the range (nearest $10,000) or your gross sales from your business? Please complete all years, estimating future years. 8. 9. 10. 11. a. Year Before Last Year Gross Sales b. Was it profitable? Yes No c. Did you take a salary? Yes No b. Was it profitable? Yes No c. Did you take a salary? Yes No b. Are you projecting a profit? Yes No c. Will you take a salary? Yes No b. Will it be profitable? Yes No c. Will you take a salary? Yes No a. Last Year Gross Sales a. Current Year Gross Sales (Projected) a. Next Year Gross Sales (projected) 12. What are your plans for the future? For example, increase sales; reach new markets, etc… 13. Please explain what kind of formal social media training you have done. What impact has it had on your business? Effective Social Media Presence for Businesses Facebook Twitter LinkedIn YouTube Flickr Pinterest Vimeo SlideShare Google+ Other Name: Select All That Applies Submit completed application with payment (if applicable) to: Office of Business Opportunities: Attn: Angelo McBride 1225 Lady Street, Suite 102 Columbia, SC 29201 Phone 803-545-3960 Fax 803-255-8912 or 803.299-8912 Revised 1/25/203 Page 2 of 2